11 results
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
: • Bowel: Diverticular ... Inflammatory: Ischemic ... colitis, Infectious ... colitis, UC/Chrons ... (IBD), Radiation
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Inflammatory: - Ischemic ... Colitis - IBD ... Medicine @SCVMCMed #Lower ... Differential #Diagnosis #gastroenterology
Ulcerative Colitis Activity Index

Remission - Mild - Moderate - Severe - Fulminant
Stools/day
Urgency
Hemoglobin
ESR
CRP
Fecal Calprotectin
Endoscopy (Mayo subscore)
UCEIS

@MondayNightIBD

#Ulcerative #Colitis
Ulcerative Colitis ... Activity Index ... Calprotectin Endoscopy ... #diagnosis #gastroenterology ... #IBD
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Inflammatory: Ischemic ... colitis, IBO, Infectious ... MatthewHoMD #Lower ... gastrointestinal #gastroenterology
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... immuno-therapy), Ischemic ... (irritable bowel ... #inflammatroy #bowel ... differential #diagnosis #gastroenterology
Ischemic Colitis on Colonoscopy
35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... Colitis - Dr ... Fwl Tan #Ischemic ... #endoscopy #gastroenterology ... #clinical
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Family history of IBD ... cardiac causes • Lower ... Diverticulitis • IBD ... • Mesenteric ischemia ... Differential #Diagnosis #gastroenterology
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
Ischemic Colitis ... Ischemic colitis ... After manual/endoscopic ... #clinical #colon ... #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... colon or small bowel ... , asymptomatic IBD ... bleed, • Acute colitis ... (ischemia, infectious
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... this requires clinical ... and endoscopic ... ) • Vascular: Ischaemia ... #differential #gastroenterology